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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blackish Vomiting After Excessive Alcohol Intake. Uneasy Stomach. Need Medication?

I did a lot of drinking last night and woke in the morning and my puke was black. For the next couple hours every time I ate or drank something I would immediately throw up black. I took a 2 hour nap and ate dinner and it stayed down and I haven t puked in the last 10 hours. My stomach still feels a little uneasy though. Is there anything to wort about or will this go away on its own?
Thu, 4 Apr 2013
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Gastroenterologist,  's  Response
Hello, mthemm121,
I think you caused enough damage to the lining of the stomach
and you have slow bleeding. That's what turns black when it comes out
when you throwup.
If you have been a steady drinker for a number of months or years, it
is possible that you could have alcoholic liver disease. If you have
advanced liver disease with scarring or cirrhosis , you can have complications
related to that including esophageal varices which are enlarged veins in the
lower part of the esophagus which can bleed.
If you have had indigestion and stomach pains for sometime, it is possible
you can have a small ulcer in the lower part of the stomach which could get
irritated by aspirin, ibuprofen etc along with alcohol.
Stop drinking and have your liver blood tests done if you have been a heavy
or steady drinker to assess the damage already done. You might need an
upper GI x-ray if you have ulcer symptoms.
Stay on a bland diet and you can take Omeprazole twice a day for few days.
I wish you well.
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Blackish Vomiting After Excessive Alcohol Intake. Uneasy Stomach. Need Medication?

Hello, mthemm121, I think you caused enough damage to the lining of the stomach and you have slow bleeding. That s what turns black when it comes out when you throwup. If you have been a steady drinker for a number of months or years, it is possible that you could have alcoholic liver disease. If you have advanced liver disease with scarring or cirrhosis , you can have complications related to that including esophageal varices which are enlarged veins in the lower part of the esophagus which can bleed. If you have had indigestion and stomach pains for sometime, it is possible you can have a small ulcer in the lower part of the stomach which could get irritated by aspirin, ibuprofen etc along with alcohol. Stop drinking and have your liver blood tests done if you have been a heavy or steady drinker to assess the damage already done. You might need an upper GI x-ray if you have ulcer symptoms. Stay on a bland diet and you can take Omeprazole twice a day for few days. I wish you well.